Abstract
The Osteomyocutaneous Free Fibula Flap in Mandibular Reconstruction
Highlights
Functional reconstruction of mandible is one of the most challenging problems in maxillofacial reconstruction in ablative defects especially after tumour surgery, with the problem becoming complicated after cases of composite tissue resection
2 patients had total flap failure, 2had partial flap failure, plate exposure/extrusion was seen in 1 patient, and major Orocutaneous fistula and donor site dehiscence was noted in 1 patient
Osteocutaneous free fibula flap for reconstruction of mandibular defect is a good choice in terms of function, cosmesis, less complications and acceptable donor site morbidity
Summary
Functional reconstruction of mandible is one of the most challenging problems in maxillofacial reconstruction in ablative defects especially after tumour surgery, with the problem becoming complicated after cases of composite tissue resection. Many composite flaps based on microvascular free tissue transfer are used for functional reconstruction with varying success. Reconstruction of the mandibular defects after tumour resection or trauma is one of the most challenging problems facing reconstructive surgery. The major role played by the mandible in airway protection and support of the tongue, lower dentition, and mastication, articulation, and deglutition. The vast majority of segmental mandible defects are caused by head and neck cancer of which Squamous cell carcinoma (SCC) and estrogenic sarcoma is the most common [2]. Because of the complexity of these composite defects, free fibula osteocutaneous flap is regarded as a good choice for reconstruction [3]
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